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ra) /� /26 ? <br /> ❑ Preliminary <br /> ❑ Under Construction FLOODPLAIN CERTIFICATION (Dwelling) <br /> Completed To Be Completed By Wisconsin Registered Surveyor or Engineer <br /> Owners Name David Hauan Legal Description Fossums Pines Lot 11 <br /> Address 6663 Midtown Rd Computer Number ' <br /> Siren WI 54872 County Land Use Permit Number <br /> RFE For Building Site 956.0 <br /> _ , ECt50 V E -7\ <br /> OCT 42021 <br /> 171B <br /> 1.4 <br /> Burnett ounty $ <br /> Dwelling <br /> Land Services Department E <br /> El <br /> (D) First Floor Elevation <br /> H <br /> a <br /> a <br /> (B) Ground Elevation Distance Beyond <br /> At Top of Fill \tioBuilding a - <br /> (C) --...--ii <br /> • (E) Basement or Crawl <br /> (A) Ground Elevation ..- j:: :, 4.-z: Space Elevation <br /> At Building Site „_,4::"0: -71.,x. :•.0,: v".<7 C •I II <br /> ..a:''.,' •••;•:4,34•;::—: TAT .`. yam. ":I•.h •:t;••••••••4 <br /> •� •~ .:i•.,.. .. <br /> a. •i s :t.:.•t..••'-..' —,N •n a iri :y• R• .•" <br /> • <br /> '�'•I 7:-,"4".:`,..%•Y.Yj•T•.�'y•M••.?,'.9b •7':.•. �'1 as'w.."C. ♦J%'v1•: .2•r <br /> • r <br /> t' <br /> (A) 956.0 <br /> Vertical Datum NAVD 88 - <br /> (B) 957.1 <br /> Vertical Control 15' <br /> Monument Referenced County Benchmark#14 (C) <br /> Elevation 955.76 (D) 958.3 <br /> (E) <br /> Comments: 14' concrete slab - deck on lakeside of house 957.2 min <br /> I hereby certify that the information <br /> Name Mark E Krause <br /> provided on this form represents Signature E.the actual building elevations as <br /> currently constructed. Registration Number PLS 1808-8 <br /> Date Mityx-e <br />